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      • Record: found
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      Association of training standards in pediatric gastroenterology, hepatology and nutrition in European training centers with formal national recognition of the subspecialty: a survey of the ESPGHAN National Societies Network 2016-2019

      research-article
      Author(s): a* , b* , c* , a , a , a , d , e , f , g , h , i , j , k , l , m , n , o , p , q , r , s , t , u , v , w , x , d , y
      Publication date (Electronic):
      Journal: Annals of Gastroenterology
      Publisher: Hellenic Society of Gastroenterology
      Keywords: Training in pediatric gastroenterology, hepatology and nutrition, ESPGHAN

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          Abstract

          Background

          This survey evaluated the effects of the recognition of pediatric gastroenterology, hepatology and nutrition (PGHN) on European PGHN training centers.

          Method

          Standardized questionnaires were collected from training centers via the presidents/representatives of the National Societies Network of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition, from June 2016 to December 2019.

          Results

          A total of 100 training centers from 19 countries participated in the survey: 55 from 12 countries where PGHN is formally recognized (Group 1) and 45 from 7 countries where it is not (Group 2). Training centers in Group 2 were less likely to have an integrated endoscopy suite, a written training curriculum and a training lead (P=0.059, P<0.001 and P=0.012, respectively). Trainees in Group 2 were less likely to be exposed to an adequate number of diagnostic endoscopies, while no differences were found in relation to liver biopsies. Half of the training centers in both Groups do not have dedicated beds for PGHN patients, while in 64% and 58%, respectively, trainees do not participate in on-call programs for PGHN emergencies. Research training is mandatory in 26% of the centers. The duration of training, as well as the assessment and accreditation policies, vary between countries.

          Conclusions

          This study has revealed significant discrepancies and gaps in infrastructure and training programs, training leadership, and assessment of training and certification across European training centers in PGHN. Strategies to support the recognition of PGHN and to standardize and improve training conditions should be developed and implemented.

          An infographic is available for this article at: http://www.annalsgastro.gr/files/journals/1/earlyview/2022/Infographic_AG-6496.pdf

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          Most cited references11

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          Liver biopsy in children: position paper of the ESPGHAN Hepatology Committee.

          Antal Dezsofi, Ulrich Baumann, Anil Dhawan … (2015)
          Liver biopsy (LB) is still the criterion standard procedure for obtaining liver tissue for histopathological examination and a valuable tool in the diagnosis, prognosis, and management of many parenchymal liver diseases. The aim of this position paper is to summarise the present practice of paediatric LB and make recommendations about its performance. Although histological evaluation of the liver is important in assessing prognosis and exploring treatment, noninvasive techniques (ie, imaging, laboratory markers) may replace use of liver histology. The indications for LB are changing as present knowledge of aetiologies, pathomechanism, and therapeutic options in paediatric liver disease is evolving. Adult and paediatric literature was reviewed to assess the existing clinical practice of LB with focus on the technique, indications, risk of complications, and contraindications in paediatrics. This position paper presents types of LB, indications, complications, contraindications, and an essential checklist for paediatric LB.
          Article 0 comments Cited 50 times – based on 0 reviews     Review now
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            NASPGHAN Guidelines for Training in Pediatric Gastroenterology

            Alan M Leichtner, Lynette Gillis, Sandeep Gupta … (2013)
            Article 0 comments Cited 18 times – based on 0 reviews     Review now
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              Advanced Training in Neurogastroenterology and Gastrointestinal Motility

              Satish S.C. Rao, Henry Parkman (2015)
              Article 0 comments Cited 10 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Ann Gastroenterol
                Journal ID (iso-abbrev): Ann Gastroenterol
                Title: Annals of Gastroenterology
                Publisher: Hellenic Society of Gastroenterology (Greece )
                ISSN (Print): 1108-7471
                ISSN (Electronic): 1792-7463
                Publication date (Print): May-Jun 2022
                Publication date (Electronic): 07 April 2022
                Volume: 35
                Issue: 3
                Pages: 317-324
                Affiliations
                [a ]Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Children’s Hospital Agia Sofia, Athens, Greece (Alexandra Papadopoulou, Maria Noni, Eleni Koutri, Maria-Vasiliki Karagianni)
                [b ]Pediatric Gastroenterology Unit, La Fe University Hospital, Valencia, Spain (Carmen Ribes-Koninckx)
                [c ]Pediatric Liver Center, King’s College Hospital, London, United Kingdom (Alastair Baker)
                [d ]Birmingham Children’s Hospital, NHS Foundation Trust, Birmingham, United Kingdom (Sue Protheroe, Deirdre Kelly)
                [e ]Department of Translational Medical Science, Section of Pediatrics, University of Naples Federico II, Naples, Italy (Alfredo Guarino)
                [f ]Unit of Gastroenterology, Hepatology, Nutrition, Diabetes, and Inborn Errors of Metabolism, Children Hospital, Toulouse University Hospital, Toulouse, France (Emmanuel Mas)
                [g ]Pediatric Gastroenterology Unit, Department of Pediatrics, Hadassah University Hospitals, Jerusalem, Israel (Michael Wilschanski)
                [h ]Pediatric Gastroenterology Unit, University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain (Enriqueta Roman)
                [i ]Department of Pediatric Gastroenterology, Erasmus MC-Sophia Children’s Hospital, Rotterdam, The Netherlands (Johanna Escher)
                [j ]Division of Pediatric Gastroenterology and Nutrition, University Children’s Hospital, Basel, Switzerland (Raoul I. Furlano)
                [k ]Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany (Carsten Posovszky)
                [l ]Department of Pediatric Gastroenterology, Leuven University Hospital, Leuven, Belgium (Ilse Hoffman)
                [m ]Pediatric Institute-Clinic, University of Debrecen, Debrecen, Hungary (Gabor Veres +)
                [n ]Department of Pediatrics, University Hospital Motol, Prague, Czech Republic (Jiri Bronsky)
                [o ]Department of Pediatrics, Medical University of Graz, Graz, Austria (Almuthe Christine Hauer)
                [p ]University Hospital Center Zagreb – Division for Pediatric Gastroenterology, Hepatology and Nutrition & University of Zagreb School of Medicine, Zagreb, Croatia (Duska Tjesic-Drinkovic)
                [q ]4 th Department of Pediatrics, Aristotle University of Thessaloniki, Thessaloniki, Greece (Maria Fotoulaki)
                [r ]Department of Gastroenterology, Hepatology and Nutrition, Ljubljana University Children’s Hospital, Ljubljana, Slovenia (Rok Orel)
                [s ]Vilnius University Clinic of Children’s Diseases, Vilnius, Lithuania (Vaidotas Urbonas)
                [t ]Division of Pediatric Gastroenterology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey (Aydan Kansu)
                [u ]2 nd Department of Pediatrics, Saint Marina University hospital, Varna, Bulgaria (Miglena Georgieva)
                [v ]Sheffield Children’s Hospital NHS Foundation Trust, Sheffield, United Kingdom (Mike Thomson)
                [w ]Department of Pediatric Gastroenterology and Nutrition, Emma Children’s Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands (Marc Benninga)
                [x ]Gastroenterology, Hepatology and Liver Transplant, Queensland Children’s Hospital, Brisbane, Australia (Nikhil Thapar)
                [y ]LMU – Ludwig Maximilians Universität Munich, Dept. Pediatrics, Dr. von Hauner Children’s Hospital, LUM University Hospitals, Munich, Germany (Berthold Koletzko)
                Author notes
                Correspondence to: Alexandra Papadopoulou, Division of Gastroenterology and Hepatology, First Department of Pediatrics, University of Athens, Agia Sofia Children’s Hospital, Thivon and Papadiamantopoulou, 11527, Athens, Greece, e-mail: office.alexandra.papadopoulou@ 123456gmail.com
                [+]

                Gabor Veres passed away before the writing of the manuscript

                Article
                Publisher ID: AnnGastroenterol-35-317
                DOI: 10.20524/aog.2022.0711
                PMC ID: 9062838
                SO-VID: c400566c-3b91-4c7a-8b5d-c8837c3a9143
                Copyright © Copyright: © Hellenic Society of Gastroenterology
                License:

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                Date received : 16 November 2021
                Date accepted : 14 February 2022
                Categories
                Subject: Original Article

                Keywords: training in pediatric gastroenterology,hepatology and nutrition,espghan
                Data availability:
                Keywords: training in pediatric gastroenterology, hepatology and nutrition, espghan

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